Very much this.Not really. Being made redundant at the drop of a hat, 15 days paid leave rather than 25 plus bank holidays, piss poor pensions and generally staying in a job for the healthcare.
If being ill leaves you in debt then it’s third world.
Americans look at you like you're mad when you point out these things, but the fact is that unless you're one of the very comfortably off middle classes (or better off) then you may as well be in the third world. There are parts of the southern states that would make El Salvador blush.